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CAD
Stable Angina:
Unstable Angina:
STEMI:
NSTEMI:
decreased blood flow to heart causing ischemia, dyspnea, tightness; resolves at rest
does not resolve at rest → acute coronary syndrome
abrupt disruption of blood flow to heart (EKG/elevated troponin)
CAD
Lab monitoring
Lifestyle modififications:
Medications:
Stress Test:
Cardiac catheterization:
Cholesterol, C-reactive protein, Homocysteine
DASH diet, no smoke, sleep hygiene, exercise
Daily (ACE, ARB, BB, CCB, Statins, antiplatelets) and Sublingual nitroglycerin PRN
activity tolerance (treadmill/medicine) to inducted sx under controlled area
treat/monitor blockages that could lead to ACS
Cardiomyopathy
Def
Most common
Dilated:
Hypertrophic:
Restrictive:
Arrythmogenic:
chronic triggered by inflamattory process (infection, malnutrition)
dilated
weak heart —> bad contractions → decreased CO = backed up weak squeeze
thick ventricles → bad refilling → decreased CO= big heart not alot of refill
ventricle stiff -→ decreased refill → decreased CO= stiff so cant refill
fibrous tissue → electrical instability → lethal dysrhythmias
Cardiomyopathy
Cues
Labs/Diagnostics:
Medication management:
Lifestyle mods:
Possible sx interventions:
manis from heart failure (SOB, edema, ascites)
BNP(fluid), Troponins (damage), EKG, CXR
help increase CO but concern with hypotension
diet, wt loss, nonsternuous, no smoke
LVAD, transplant, ICD (shocks)
Valvular Dysfunction
Def
Stenosis
regurgitation
Causes:
Most common valves:
Big risk factor:
damaged valves that do not open/close right → increased cardio workload
narrowing “stuck”
backup of blood “reflux”
birth defect, atherosclerosis, IV drug use, Lupus, endocarditis
Aortic , Mitral
Age and cardio stress
Valvular Dysfunction
Cues
Labs:
Medications:
TAVR:
HEart mumur (STENOSIS), edema, SOB, unexplained weight loss
Echo (EF <40% indicates severe issues), stress test, catheter
diuretics, vasodilators, BB, ACE, blood thinners
valve replacement done with cardiac cath